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PODCAST

Dr. Chapa’s OBGYN Clinical Pearls

Dr. Chapa’s Clinical Pearls

Relevant, evidence based, and practical information for medical students, residents, and practicing healthcare providers regarding all things women’s healthcare! This podcast is intended to be clinically relevant, engaging, and FUN, because medical education should NOT be boring! Welcome...to Clinical Pearls.

science

All Episodes

00:17:27

LEEP or CKC? A Review of ASCCP Guidelines for HG...

Dr. Chapa’s OBGYN Clinical Pearls ·

2021/06/16

In 2019, the ASCCP made some impactful changes to the management algorithm for cervical dysplasia. Why was the treatment algorithm divided between those under the age of 25 years and those over 25 years of age? When is observation without excision preferred? And, what’s the best way to perform surveillance after an excision procedure? In this session, which is Part 1, we will review the guidelines related to surgical excision of high-grade dysplasia.

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00:14:37

Evidence Based Hysterotomy Closure

Dr. Chapa’s OBGYN Clinical Pearls ·

2021/06/14

Cesarean section is the most common laparotomy performed worldwide. So, you would think we would have a standardized way of closing the uterine incision. But we don’t! What does the data say about single layer hysterotomy closure compared to two layer closure? Is one really better for TOLAC? Is one associated with more complications than the other? The answer is a little bit more complicated than you think. In this session, we will review the aggregate data on this persistent debate.

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00:09:19

Mag for RLS? Allison’s Inquiry.

Dr. Chapa’s OBGYN Clinical Pearls ·

2021/06/10

I love how our medical community can come together to discuss and brainstorm on better ways to care for our patients. Last night I received a message from Allison, from Chicago. Thanks Allison! She had a question regarding our recent RLS podcast and the potential role for magnesium supplementation for the condition. Is magnesium an effective treatment choice for RLS? Let’s review that data now.

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00:14:31

RLS in Pregnancy (Part 2)

Dr. Chapa’s OBGYN Clinical Pearls ·

2021/06/10

Welcome to Part 2! In this session we will complete our discussion of RLS in Pregnancy and review its workup and management strategies.

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00:08:32

RLS in Pregnancy (Part 1)

Dr. Chapa’s OBGYN Clinical Pearls ·

2021/06/07

Restless Leg Syndrome (RLS), now often referred to as Willis–Ekbom Disease (WED), is a common sensorimotor disturbance much more prevalent in women and during pregnancy. Do you know the potential pathophysiological tie between pregnancy and this condition? What are RLS symptoms? What about treatment? Let’s dive into this very common, yet largely overlooked, issue in the session.

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00:06:36

Brexafemme: Helpful, or Not?

Dr. Chapa’s OBGYN Clinical Pearls ·

2021/06/03

The FDA has approved Brexafemme, an antifungal drug, for treating vaginal yeast infections. The drug represents the first new antifungal drug class in 20 years. How does this new medication work? and What's the dose? Does this work for recurrent vaginal cases? Please note that there are also some cautionary items that WE MUST address here... Lets cover that now!

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00:12:08

Intracervical Balloon After PROM: June 2021...

Dr. Chapa’s OBGYN Clinical Pearls ·

2021/06/02

PROM complicates 8% of term pregnancies, approximately 270,000 births in the US annually. In this session, we summarize and review a June 2021 Systematic Review/Meta-Analysis (of RCTs) where an intracervical balloon catheter was compared with a pharmacologic agent for the induction of labor after PROM,including preterm PROM.

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00:05:51

Hep C Screening (ACOG Advisory May 2021)

Dr. Chapa’s OBGYN Clinical Pearls ·

2021/05/29

Hepatitis C is the most commonly reported bloodborne infection in the United States. The ACOG is updating its Hepatitis C screening guidance regrading pregnancy. In this session, we will review the May 2021 ACOG Practice Advisory regarding hepatitis see screening in pregnancy.

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00:14:45

The Obese CS Patient

Dr. Chapa’s OBGYN Clinical Pearls ·

2021/05/26

The ACOG will release a new Practice Bulletin in June 2021 discussing obesity in pregnancy. The prevalence of obesity in reproductive age women in the United States is 39.7% In this session we will review some key practical issues regarding cesarean sections in the obese patient. Is one type of skin closure better than the other? What is the optimal VTE pharmacological protocol? Tune in and see!

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00:08:28

Myth-Busting: Preeclampsia Episode (Part 2)

Dr. Chapa’s OBGYN Clinical Pearls ·

2021/05/23

The information in this section will shake your foundation regarding what you had previously been told about the origins of preeclampsia. Is the placenta the villain or the victim? This is Part 2 of our Myth-Busting Preeclampsia Episode. We will review the maternal cardiovascular changes that actually PRE-EXIST the development of preeclampsia.

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00:18:20

Myth-Busting: Preeclampsia Episode (Part 1)

Dr. Chapa’s OBGYN Clinical Pearls ·

2021/05/20

The pathophysiology of preeclampsia continues to be discovered. For decades, the placenta has been portrayed as the “villain“ in the preeclampsia saga. But is it? Evolving data is putting that into question and is eliminating previously held concepts previously thought to be true. In this episode we will myth-bust some long-standing beliefs regarding preeclampsia.

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00:13:29

High vs Low-Dose Pitocin: Safety and Effectiveness.

Dr. Chapa’s OBGYN Clinical Pearls ·

2021/05/17

Is the high dose Pitocin protocol (6 mU/min) associated with increased C-sections for fetal distress? What about perinatal outcomes? There are a variety of Pitocin protocols in L&D units across the country. In this episode, we will review a soon to be released publication out of Obstetrics and Gynecology. We will summarize an RCT comparing high-dose versus low-dose Oxytocin for labor augmentation in nulliparous women.

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00:09:54

Term Birth Issues after BMZ?

Dr. Chapa’s OBGYN Clinical Pearls ·

2021/05/13

Given the known benefits to BMZ for preterm infants and the difficulty in predicting which women will actually deliver preterm, it is common for providers to administer antenatal corticosteroids in an effort not to miss the opportunity to give them before delivery and to try and get the maximal time benefit. However, many of these babies will be born at term. Do these term born babies benefit or experience adverse outcomes after steroid exposure? In this session, we will review an

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00:12:34

Vitamin S: Can Sexual Frustration Cause Depression?

Dr. Chapa’s OBGYN Clinical Pearls ·

2021/05/11

Sex can fulfill the human psychological needs of connectedness as well as the physical needs of intimacy. Being alone and lonely can cause major health and psychological problems for many. Is there data that sexual frustration impairs well-being? This session will review this often controversial subject as well as summarize an eye-opening study previously published from Carnegie Mellon describing state of happiness based on frequent of sex.

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00:10:54

Adenomyosis (Part 2)

Dr. Chapa’s OBGYN Clinical Pearls ·

2021/05/06

In this session we wrap up our review of Adenomyosis. Are you familiar with the MUSA ultrasound criteria? What is the role of MRI in the diagnosis of Adenomyosis? And is there a role for hysteroscopic diagnosis? Let’s wrap up our discussion on Adenomyosis now.

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00:12:06

Adenomyosis (Part 1)

Dr. Chapa’s OBGYN Clinical Pearls ·

2021/05/02

Historically, Adenomyosis was a pathological diagnosis only. However, new imaging standards/techniques have moved Adeno into a clinical diagnosis. Is there a patient risk profile for this condition? Is this strictly a gynecological issue or is there adverse perinatal outcomes as well? Welcome to Part 1 of Adenomyosis where we will answer these questions and more.

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00:09:28

Mood Disorders in Admitted Antepartum Patients: LOOK...

Dr. Chapa’s OBGYN Clinical Pearls ·

2021/04/28

OB Patients admitted with medical or obstetrical complications to an antepartum hospital unit face separation from loved ones, stress from their diagnosis, face isolation, and are prone to develop perinatal mood disorders. In this episode, we will review a soon to be released publication from the Green Journal (May 2021) addressing this under diagnosed and under recognized issue.

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00:08:46

The 4th Trimester: Not Long Enough.

Dr. Chapa’s OBGYN Clinical Pearls ·

2021/04/23

On April 12, 2021, Illinois agreed to provide Medicaid benefits to eligible mothers for up to 12 months postpartum, a major extension from the previous 60-day limit. Follow up of postpartum women for 12 months after delivery is gaining favor as data is evolving which shows that “the 4th trimester” (the first 12 weeks postpartum) is just not long enough to detect postpartum complications. In this episode we will review a new editorial which states that “the 4th trimester” is not long enough.

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00:16:12

The Acutely Agitated OB Patient

Dr. Chapa’s OBGYN Clinical Pearls ·

2021/04/21

We often encounter the acutely agitated patient. Acute agitation may be from and uncontrolled medical condition, psychiatric condition, or illicit substance induced. The acutely agitated patient is also at increased risk of some prenatal complications. In this session we will review the evidence-based protocols for management of the acutely agitated OB patient.

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00:11:48

Is Caffeine in Pregnancy Bad?

Dr. Chapa’s OBGYN Clinical Pearls ·

2021/04/18

The ACOG has stated that caffeine consumption in pregnancy should be limited to 200 mg/day. However, a new study published on March 25, 2021 in JAMA Network Open is questioning that recommendation. In this study, we will review this longitudinal cohort publication stating that “there may be no safe limit to caffeine consumption”.

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1,102 results

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